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Loans Receivable and Loans Receivable - Related Parties - Additional Information (Details) - USD ($) |  |  | 12 Months Ended |  |  |  |  |
--- | --- | --- | --- | --- | --- | --- | --- | ---
Aug. 30, 2019 | Dec. 08, 2017 | Dec. 31, 2019 | Jun. 28, 2019 | Dec. 31, 2018 | Nov. 28, 2018 | Jun. 29, 2018 | Dec. 31, 2015
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Interest acquired |  | 18.00% |  |  |  |  |  |
Consideration transferred |  | $ 86,394,383 |  |  |  |  |  |
Accountable Health Care IPA |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Consideration transferred | $ 25,100,000 |  |  |  |  |  |  |
Liabilities assumed | $ 15,400,000 |  |  |  |  |  |  |
Dr. Jay | Accountable Health Care IPA |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Interest acquired | 75.00% |  |  |  |  |  |  |
Consideration transferred | $ 7,250,000 |  |  |  |  |  |  |
Liabilities assumed | 5,000,000 |  |  |  |  |  |  |
Gain on acquisition | $ 2,300,000 |  |  |  |  |  |  |
Financing Receivable | Universal Care, Inc. |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Interest rate on loan receivable |  |  | 5.75% |  |  |  |  |
Working capital advanced |  |  |  |  |  |  |  | $ 5,000,000
Additional advances |  |  | $ 4,000,000 |  |  | $ 5,000,000 | $ 2,500,000 |
Amount of loan |  |  | $ 16,500,000 |  | $ 12,500,000 |  |  |
Financing Receivable | LMA | APC |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Ownership upon conversion of finance receivable |  |  |  | 46.25% |  |  |  |
Financing Receivable | Prime Rate | Universal Care, Inc. |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Basis spread on variable rate |  |  | 1.00% |  |  |  |  |
Financing Receivable | Dr. Arteaga |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Amount of loan |  |  |  | $ 6,400,000 |  |  |  |
Interest rate on loan receivable |  |  | 5.75% |  |  |  |  |
Percentage of outstanding stock convertible |  |  |  | 21.25% |  |  |  |
Financing Receivable | Dr. Arteaga | LMA |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Ownership upon conversion of finance receivable |  |  |  | 53.75% |  |  |  |
Financing Receivable | Dr. Arteaga | Prime Rate |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Basis spread on variable rate |  |  | 1.00% |  |  |  |  |
Financing Receivable | Dr. Jay Loan |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Interest rate on loan receivable |  |  |  |  | 6.50% |  |  |

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